Registration Form
Parent /Guardian Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you use WhatsApp with this number?
*
Yes
No
Student’s Name
*
First Name
Last Name
Student’s Gender
*
Male
Female
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Student’s Birthdate
-
Month
-
Day
Year
Date
Name of Student’s School
-
Area
School’s Name
Student’s Class
*
Standard 3
Standard 4
Standard 5
Other
Please Select Student’s Online Class Session(s)
*
English Language Arts $130
Mathematics $130
Creative Writing $130
All 3 Subjects $350
Other Subject Area $130
Homework Centre $130
Please Select your Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How did you find us?
TikTok
Instagram
Google/Other search engine
Facebook
Friend
Other
If you were referred by a friend please let us know who, so we can thank them!
First Name
Last Name
Submit Form
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